(Disclaimer: This article is only for popular science purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: This case is a 30-year-old male patient, Mr. Gu was admitted to the hospital due to abdominal pain for half an hour after the trauma of a car accident, and was diagnosed as a pancreatic body laceration with hematoma through the results of physical examination, CT, and other related examinations. After communicating the patient’s condition, Mr. Gu was given surgical suture to repair the pancreatic body plus postoperative adjuvant anti-inflammatory and analgesic treatments, and his abdominal pain symptoms gradually improved. 2 weeks later, the patient regained his health and was discharged from the hospital. Basic information] Male, 30 years old [Type of disease] Trauma, pancreatic laceration with hematoma [Hospital] The First Affiliated Hospital of Kunming Medical University [Time of consultation] March 2022 [Treatment plan] Surgery (pancreatic laceration suture repair) + medication (cephradine capsule, celecoxib capsule) [Cycle of treatment] 2 weeks of hospitalization, discomfort follow up [Effect of treatment] Abdominal pain is reduced. One day in March 2022, I was on duty in the emergency room when Mr. Gu was suddenly pushed in by a flatbed truck, and his face was in pain, he was crying out in pain, and he was holding his abdomen tightly with his hands, and his palms, forehead and other parts of his body were bruised. Careful questioning revealed that the patient had collided with a car while riding a motorized bicycle around a corner, and the patient was knocked down and crushed by the tram underneath. Simple examination revealed that the patient had no consciousness disorder, no obvious trauma, rapid heart rate, positive epigastric tenderness with abdominal muscle tension. CT was quickly arranged to investigate the intra-abdominal cavity, and the results showed that no obvious pancreatic injury was seen on CT, but swelling and a small amount of peripheral fluid and fat tangles were seen in the descending portion of the duodenum, suggesting the presence of crush injuries. He was admitted to the hospital with pancreatic injury pending investigation. After being admitted to the hospital, routine examinations such as routine blood test, C-reactive protein, liver and kidney function, and serum amylase test were completed, and it was found that the peripheral leukocyte count was increased, and there was no obvious abnormality in serum amylase. According to the patient’s symptoms, considering that the patient’s pancreas has no obvious damage, after communicating with the patient’s family, the treatment program was determined as oral cefradine capsule anti-inflammatory and anti-infective, celecoxib capsule for pain relief. The patient was kept under observation in the clinic. The 48-hour CT examination showed that the pancreatic body was lacerated with progressive peripancreatic fluid accumulation. The common pancreatic duct was not involved above the injury. Oral contrast showed no penetrating injury to the small intestine. The definitive diagnosis was pancreatic body laceration with hematoma. Pancreatic laceration suture repair was proposed and preoperative examination was performed. Surgery was scheduled on the 4th day of admission, and the pancreatic body was repaired by mattress suture with silk thread, hematoma was removed, hemostasis was tightly performed, drainage tubes were placed to drain the pancreatic body, and the drainage tubes were kept open. The patient was admitted to the hospital and actively cooperated with the treatment. After medication and surgery to repair the pancreatic body with mattress suture using silk thread, remove hematoma, tightly stop bleeding, and place a drainage tube to drain, the patient’s abdominal pain was relieved and the symptoms were slowly reduced. During the treatment, the drainage tube was always kept open, and the drainage flow was slowly reduced without complications such as pancreatic fistula, peripancreatic abscess, pancreatitis, pancreatic pseudocyst, and postoperative hemorrhage, and it was removed after 2 days of observation. On the 14th day of admission, the patient was in good condition, and there was no obvious abnormality in the indexes of rechecking. After discussing with the patient and his family, the patient was arranged to leave the hospital, and was discharged from the hospital with standardized medication to consolidate the treatment. Before discharge, the patient was asked to follow up, and the patient and his family were very satisfied with the treatment effect. Fourth, notes for the patient to help patients to restore health is very pleased. Patients should also pay attention to the following points after discharge: 1, must follow the doctor’s instructions on time, according to the amount of medication, in order to avoid adverse effects on the body; 2, pay attention to the wound care, keep it clean, dry state, do not get wet, and disinfection on a regular basis, in order to avoid inducing infections; 3, arrange for enough rest time, do not overwork, maintain a good mood during the period of convalescence, conducive to the recovery of the condition; 4, pay attention to a reasonable diet, and pay attention to their own digestive system, and also pay attention to their health, and to the patient’s health. Pay attention to the reasonable diet, at the same time, pay attention to their own digestion, it is recommended to eat some easily digestible food, prohibit spicy and stimulating, greasy food; 5, regular re-examination of the CT to monitor the condition, if there is abdominal distension, abdominal pain and other symptoms of abnormal discomfort, please consult a doctor in a timely manner. V. Personal perception If the pancreatic injury is heavy, pancreatic fluid will accumulate in the omental sac, with the symptoms of obvious epigastric pressure and muscle tension, and diffuse peritonitis may also appear soon, at which time it is easier to consider the possibility of pancreatic injury. However, in the case of simple blunt pancreatic injury, such as this patient, the clinical manifestations are not obvious, and when the preliminary examination shows no obvious abnormality, it should not be taken lightly, and can be kept in the hospital for temporary observation, so as to avoid misdiagnosis and delay of the condition, which may jeopardize the patient’s life. Meanwhile, for patients after pancreatic trauma surgery, we must closely observe the situation of the drainage tube and drainage fluid, do not prematurely remove the drainage tube, so as not to affect the recovery.